NPI | 1073868899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 265871) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 265871) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D87164) | |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-02-27 |